Policy Number Chapter Effective Date Approval Date Supersedes Policy: Inclement Weather OP 30-10.08 Operations October 2010 Month Year April 2003 Applicable to VUH Children’s Hospital VMG VMG Off-site locations VPH VUSN VUSM Other: Team Members Performing All faculty & staff Faculty & staff providing direct patient care or contact MD House Staff APRN/PA RN LPN Other: Lead Author & Content Experts Lead Author: Pamela K. Hoffner, RN, MSN, Department of Emergency Preparedness Susan Hannasch, Senior Associate Counsel, MMHC, Office of Counsel Susan Marshall, Consultant, Human Resources Robin Mutz, MPPM, RNC, Administrative Director, Center for Women’s Health and Nursing Support Services Lou Kaelin, MSN, RN, NE-BC, Interim Director, Workforce Management Carol Wilson, RN, MSN, Director, Clinical Access, VUH SPECIFIC EDUCATION REQUIRED: YES NO If yes, see section on “Additional Competencies Required” Table of Contents I. Purpose: ........................................................................................2 II. Policy:...........................................................................................2 III. Definitions: ...................................................................................2 IV. Specific Information:....................................................................2 V. References: ...................................................................................5 VI. Endorsement: ................................................................................6 VII. Approval: ......................................................................................6 ©2011 Vanderbilt University. All rights reserved. Inquiries: Accreditation & Standards (615) 322-1117 Inclement Weather Policy Number OP 30-10.08 I. Purpose: To establish Vanderbilt University Medical Center (VUMC) expectations concerning faculty/housestaff/staff presence at work during periods of inclement weather. This policy does not apply to periods during which VUMC Emergency Operations Plan is in effect. When the VUMC Emergency Operations Plan is in effect, all VUMC faculty/housestaff/staff are expected to follow the Emergency Operations Plan. II. Policy: VUMC remains open at all times, maintains staffing levels sufficient to continuously meet the needs of its patients, and has plans in place for the safety of VUMC faculty/housestaff/staff during periods of inclement weather. III. IV. Definitions: A. Inclement Weather Event: the existence of hazardous weather conditions that pose a threat to life or property. B. Yellow Alert Standby for Inclement Weather Announcement: Standby, prepare for inclement weather. C. Orange Alert Inclement Weather Announcement: Inclement Weather is in the area and has the potential to disrupt normal medical center operations. The VUMC Emergency Operations Plan is activated and an Emergency Operations Center (EOC) is opened to handle the event D. For other VUMC Emergency Operations Plan and weather related definitions see Attachment Specific Information: A. Inclement Weather Readiness: 1. If inclement weather is predicted, Medical Staff Leadership and all Unit/Department Managers/ and Supervisors are responsible for reviewing the staffing needs of their areas; and planning proactively to meet the area’s patient care needs. Medical Staff Leadership, Unit/Department Managers and Supervisors will reevaluate and adjust staffing plans as necessary and appropriate in Page 2 of 6 Inclement Weather Policy Number OP 30-10.08 the event of procedure/clinic cancellations or other changes in circumstances. B. 2. When a Yellow Alert is in effect, all faculty/housestaff/staff are required to report to work as scheduled. 3. When an Orange Alert is in effect, scheduled faculty/housestaff/staff are required to report to work (absences from work due to circumstances beyond an individual’s control are handled on a case-by-case basis) per their departmental sub-plans. As workforce decisions are made in the Emergency Operations Center, the Incident Commander or designee is authorized to retain, release or recall faculty/housestaff/staff as needed in order to meet the patient care mission of VUMC and/or ensure the safety of VUMC faculty/housestaff/staff. Due to the regional nature of inclement weather, the Incident Commander may delegate decision-making authority regarding retaining, releasing or recalling faculty/housestaff/staff who work in locations geographically removed from the main medical center campus to management over those locations. Needs Assessment for Department Managers, Supply Chain, Nutrition Services, Pharmacy, Linen Services and others as deemed necessary. When an impending inclement weather event makes regularly scheduled delivery of equipment, supplies, food services and pharmaceuticals uncertain, provision is made to obtain sufficient quantities of supplies in advance of the onset of the inclement weather. C. Departmental and Faculty/Housestaff/Staff Individual Planning 1. Each department is required to have a departmental emergency operations sub plan that includes expectations for reporting to work during an inclement weather yellow or orange alert. 2. Faculty/Housestaff/Staff attendance is critical to the ability of VUMC to provide services and maintain operations. All faculty/ housestaff/staff are responsible for having a plan in place to enable them to meet their personal responsibilities and still report to and remain at work as scheduled should an inclement weather event occur. Page 3 of 6 Inclement Weather Policy Number OP 30-10.08 D. E. F. Failure to Report to Work 1. Non-exempt staff members who do not report to work for their scheduled shift (per the applicable department sub-plan) during an inclement weather event will be considered absent and will not be paid as set forth in the Vanderbilt Attendance and Punctuality policy (excluding absence for a qualified leave of absence). Nonexempt staff members who are unable to report to work as scheduled are responsible for notifying the department of the absence in accordance with departmental call-in procedures. Nonexempt staff who do not report to work due to an inclement weather event are placed into a no pay status. Note: This is an exception to the requirement that staff utilize all appropriate accruals before going into an unpaid status. 2. Cases of exempt faculty/housestaff/staff members who do not report to work (per the applicable department sub-plan) during inclement weather will be handled in accordance with applicable VUMC Medical Staff Bylaws and Rules and Regulations, The Housestaff Manual, and applicable labor laws and regulations. Before an exempt faculty/housestaff/staff member can take unpaid time, the department should consult Employee Relations for guidance. Early Release of Faculty/Housestaff/Staff 1. While a yellow alert is in effect, faculty/housestaff/staff may not leave work unless and until they are released by Medical Staff Leadership or their Manager/ Supervisor or designee. 2. While an orange alert is in effect, faculty/housestaff/staff may not leave work unless and until they are released by the Incident Commander or designee. Faculty/Housestaff/Staff Accommodations 1. In instances of inclement weather and based on the availability of space and resources, the Administrator on Call (AOC) or Administrative Coordinator (AC) may activate the onsite Faculty/Housestaff/Staff Accommodations Plan. In this situation, large conference rooms for male and female faculty/housestaff/staff are set-up with air mattresses or cots. Shower facilities are designated by the AOC or AC at the time of Page 4 of 6 Inclement Weather Policy Number OP 30-10.08 plan activation. Faculty/Housestaff/Staff are required to register for accommodations by calling the Office of Bed Management in the adult hospital (3-8193). Activation of the Faculty/Housestaff/Staff Accommodations Plan is communicated via the hospital paging system and Medical Center Communications. 2. G. Faculty/Housestaff/Staff are not permitted to sleep in patient rooms or patient care areas with the exception of designated housestaff on-call rooms. Faculty/Housestaff/Staff Communication During an Inclement Weather event faculty/staff are updated via the following communications modes: V. 1. Overhead Announcements; 2. Alphanumeric Paging System; 3. Medical Center Communications email system References: VUMC Policies Database. Retrieved November 28, 2011 from https://mcapps.mc.vanderbilt.edu/E-Manual/Hpolicy.nsf OP 30-10.12 Lodging Assistance: Designated Hospital Staff VUMC Human Resources Policies and Procedures. Retrieved November 28, 2011 from http://hr.vanderbilt.edu/policies/index.htm HR-026 Attendance and Punctuality HR-030 Hours of Work VUMC Emergency Operations Plan. Retrieved November 28, 2011 from http://www.mc.vanderbilt.edu/ep/ National Weather Service website. Retrieved November 28, 2011 from http://www.nws.noaa.gov/ American Cross website. Retrieved November 28, 2011 from http://72.3.171.147/#SITE Page 5 of 6 Inclement Weather Policy Number OP 30-10.08 VI. VII. Endorsement: Operations Policy Committee Date Luke Gregory Executive Director & CEO Monroe Carell Jr. Children’s Hospital at Vanderbilt Date David Posch CEO, Vanderbilt University Hospital and Clinics Executive Director, Vanderbilt Medical Group President, Vanderbilt Integrated Providers Date Approval: Colleen Conway-Welch PhD, CNM, FAAN, FANCM Nancy & Hilliard Travis Professor of Nursing Dean, Vanderbilt School of Nursing Date Marilyn Dubree MSN, RN, NE-BC Executive Chief Nursing Officer Date C. Wright Pinson MBA, MD Deputy Vice Chancellor for Health Affairs CEO of the Hospitals and Clinics for VUMC Date David Raiford MD Associate Vice Chancellor for Health Affairs Senior Associate Dean for Faculty Affairs Date Page 6 of 6